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  • Cited by 12
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    Potvin, S. Aubin, G. and Stip, E. 2016. L’insight neurocognitif dans la schizophrénie. L'Encéphale,

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    Delaney, C. McGrane, J. Cummings, E. Morris, D.W. Tropea, D. Gill, M. Corvin, A. and Donohoe, G. 2012. Preserved cognitive function is associated with suicidal ideation and single suicide attempts in schizophrenia. Schizophrenia Research, Vol. 140, Issue. 1-3, p. 232.

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    Trotman, Hanan D. Kirkpatrick, Brian and Compton, Michael T. 2011. Impaired insight in patients with newly diagnosed nonaffective psychotic disorders with and without deficit features. Schizophrenia Research, Vol. 126, Issue. 1-3, p. 252.

  • Journal of the International Neuropsychological Society, Volume 15, Issue 3
  • May 2009, pp. 471-475

Is “clinical” insight the same as “cognitive” insight in schizophrenia?

  • DOI:
  • Published online: 01 May 2009

Poor insight is associated with impaired cognitive function in psychosis. Whether poor clinical insight overlaps with other aspects of self-awareness in schizophrenia, such as cognitive self-awareness, is unclear. We investigated whether awareness of clinical state (“clinical insight”) and awareness of cognitive deficits (“cognitive insight”) overlap in schizophrenia in a sample of 51 stabilized patients with chronic schizophrenia. Cognitive insight was assessed in terms of the agreement between subjective self-report and neuropsychological assessment. Patients who show good cognitive insight did not necessarily show good clinical insight. By contrast, self-report and objective neuropsychological assessment only correlated for patients in the intact clinical insight group and not for those in the impairment clinical insight group. We conclude that while good cognitive insight may not be necessary for good clinical insight, good cognitive awareness is at least partly reliant on the processes involved in clinical insight. (JINS, 2009, 15, 471–475.)

Corresponding author
*Correspondence and reprint requests to: Gary Donohoe, Department of Psychiatry, Trinity Health Centre, St. James’s Hospital, Dublin 8, Ireland. E-mail:
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